Carlos Alberto Vaquero, MD | |
9375 San Fernando Rd, Sun Valley, CA 91352-1428 | |
(818) 768-3000 | |
(818) 504-4690 |
Full Name | Carlos Alberto Vaquero |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 9375 San Fernando Rd, Sun Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134782717 | NPI | - | NPPES |
A-180694 | Other | CA | CALIFORNIA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A-180694 (California) | Primary |
Entity Name | Serra Community Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275545725 PECOS PAC ID: 6204732928 Enrollment ID: O20031211000772 |
Mailing Address | Practice Location Address |
---|---|
Carlos Alberto Vaquero, MD 9375 San Fernando Rd, Sun Valley, CA 91352-1418 Ph: (818) 768-3000 | Carlos Alberto Vaquero, MD 9375 San Fernando Rd, Sun Valley, CA 91352-1428 Ph: (818) 768-3000 |
Vinay V.r. Keesara, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-3000 Fax: 818-504-4690 | |
Alejandro Jose Villafranca Pascua, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-3000 Fax: 708-783-6567 | |
Dr. Fidel M Lara Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8033 Vineland Avenue, Lara Medical Clinic, Sun Valley, CA 91352 Phone: 818-767-1001 Fax: 818-767-1991 | |
Dr. Suresh Rao, M.D Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-3000 Fax: 818-504-4690 | |
Dr. Abdul Ahmady, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-3000 Fax: 818-504-4690 | |
Dr. Manuel Daniel Manrique Chavez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-3000 |